Together4Cancer
@T4Cancer
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We help community oncologists stay ahead of breakthroughs that change care - without drowning in promo noise or info overload | Shruti Agarwal | #OncTwitter
New York, United States
Joined November 2023
In cancer care, health literacy doesn’t just shape understanding—it shapes experience. A population study (PROFILES registry) found that even among high–health literacy patients, those with rare cancers reported lower satisfaction, information access, and quality of life than
link.springer.com
Journal of Cancer Education - Health literacy (HL) has been found to affect perceived information provision (PIP), satisfaction with information provision, and health-related quality of life...
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In clinical genetics, words are interventions. This paper argues for precise, empathetic language—using terms like “variant” instead of “mutation,” and avoiding binary labels like “positive” or “negative.” As genetic testing becomes routine in oncology, communication must
nature.com
European Journal of Human Genetics - Advancing towards clear and patient-centred language in cancer genetics
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The NSABP B-51/RTOG 1304 trial just rewrote part of the breast cancer playbook. For patients who clear nodes after neoadjuvant chemo, regional nodal irradiation adds no survival benefit—marking a clear shift toward de-escalation without compromise. Beyond practice change, it
nature.com
npj Breast Cancer - Rewriting the radiation playbook: NSABP B-51 and the rise of pathologic precision
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As a medical profession we need to take posts like this one seriously It is a big problem (and undermines any hope of therapeutic alliance) if our patients don’t feel heard In fact I would argue that our jobs, both diagnostically and therapeutically, are easier when we listen
i hate doctors so much you literally have to manipulate them into doing their jobs. i’ve found doctors take me seriously when i act like i am unintelligent and uninformed. they don’t like patients using medical terms. only they are allowed to know those words
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Despite longer survival in multiple myeloma, bone disease remains a relentless source of pain and fractures for patients. This review underscores the vital role of bisphosphonates and emerging bone-targeting strategies—highlighting how we can better personalize care to protect
onlinelibrary.wiley.com
Outcomes for patients with multiple myeloma have improved markedly in recent years due to the introduction of highly effective immune-mediated anti-myeloma therapies in both newly diagnosed and...
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Risk stratification in NSCLC remains a hurdle—how can we better pinpoint patients at high risk beyond traditional staging? This study leverages AI-powered spatial cellomics to dissect 43 distinct cell phenotypes within the tumor microenvironment of over 1100 patients,
nature.com
Nature Communications - Risk stratification in non-small cell lung cancer (NSCLC) remains challenging. By combining multiplex immunofluorescence, H&E histology, and AI, the study identifies...
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The Oncotype DX test has transformed breast cancer treatment decisions—reducing both over- and undertreatment. Yet across Europe, implementation lags. This review breaks it down: • IVDR raises regulatory demands • HTA & reimbursement vary by country • Real-world data remain
tandfonline.com
The integration of genomic tests such as the Oncotype DX Breast Recurrence Score® test, into routine clinical practice represents a significant advance in personalized breast cancer care. By suppor...
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The gut microbiome continues to prove it’s not just a bystander in immuno-oncology. A meta-analysis of 38 studies (5,642 pts) found enrichment of Akkermansia, Bifidobacterium, and Faecalibacterium linked to better OS and PFS with immune checkpoint inhibitors. Antibiotic use
akjournals.com
Abstract The gut microbiota has emerged as a critical determinant of antitumor immunity and a potential modulator of responses to immune checkpoint inhibitors (ICIs). Although pre-clinical and...
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👏 Dara an option for 🇺🇸 pts with HR-SMM. Seems that USPI will leave definition to us; great since allows for genomic & longitudinal risk assessments. Shared decision-making with patients will be key. Almost exactly 10 years to the day since dara's first approval in #MMsm!
HISTORIC AND PARADIGM CHANGING: FDA approves daratumumab for high risk smoldering multiple myeloma based on the AQUILA trial— the FIRST ever treatment approved for this indication. Excellent news and thanks to @JNJInnovMed and the huge worldwide team of investigators for
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In managing advanced breast cancer, does integrating palliative care early alongside oncological treatment truly shift outcomes? This RCT reveals not just improved symptom control and quality of life, but hints at a survival benefit—without sacrificing aggressive tumor-directed
bmj.com
The data sharing statement in this paper …
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Cutting nicotine—not just cutting smoking—may be the most impactful cancer prevention move we can make. Trials show that lowering nicotine content in cigarettes by ~95% reduces exposure, cuts consumption, and boosts quit rates. Modeling suggests an FDA nicotine cap of 0.7 mg/g
aacrjournals.org
Abstract. Chronic tobacco use is the leading preventable cause of 18 cancer types, heart and pulmonary disease, and premature death in the United States. The average cigarette contains approximately...
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Ozempic and Zepbound are just the beginning of the expanded medical GI hormone era. A new selective amylin mimetic (pancreatic peptide)) achieved marked weight loss and reduced inflammation without a plateau effect in a randomized trial @TheLancet
https://t.co/c3lINkhtcu
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Safe venous access is foundational but fraught with complication risks in cancer care. The new MAGIC-ONC guidance, developed via rigorous RAND/UCLA methodology and 1,422 detailed clinical scenarios, refines how to choose and manage vascular access devices by cancer type, urgency,
acpjournals.org
Safe and reliable venous access is critical for high-quality cancer care. Patients with both solid and hematologic cancers require vascular access devices (VADs) for systemic chemotherapies and for...
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In metastatic castration-resistant prostate cancer treated with [Lu]Lu-PSMA-617, traditional markers like PSA and baseline PET can miss key prognostic signals. This study highlights how fast, whole-body 360° [Lu]Lu SPECT with a CZT camera detects new bone lesions during therapy
jnm.snmjournals.org
Anger SPECT monitoring of [177Lu]Lu-prostate-specific membrane antigen (PSMA) therapy provides significant prognostic information about patients with metastatic castration-resistant prostate cancer...
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For patients navigating cancer's exhausting journey, this study highlights that sustaining 150 minutes of weekly physical activity during active treatment can meaningfully ease fatigue and uplift quality of life across many domains. Source:
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Longitudinal real-world data from Scotland now confirms the bivalent HPV vaccine’s durable protection against CIN2+ and CIN3+ lesions up to 12 years post-vaccination—but only with complete dosing before age 18. Completing the 3-dose (or 2-dose, 5-month apart) bivalent HPV
onlinelibrary.wiley.com
While vaccination against high-risk HPV infection, the primary cause of cervical malignancy, has demonstrated long-term effectiveness in clinical trials, real-life longitudinal data are lacking....
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The 2024 JSCCR guidelines for colorectal cancer embody a significant step toward truly patient-centered care in Japan, and they offer a valuable model for clinicians globally. By targeting key clinical controversies with evidence-grade recommendations, they offer a practical
link.springer.com
International Journal of Clinical Oncology - The number of deaths from colorectal cancer in Japan continues to rise, with over 50,000 deaths recorded in 2018. In the 2024 edition, revisions to all...
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💡 Adjuvant immunotherapy after surgery in esophageal cancer. Up to half of patients relapse after standard neoadjuvant chemotherapy or chemoradiotherapy (CRT) followed by surgery. In a single-center study (n = 690), immunotherapy and immunochemotherapy (ICT) significantly
onlinelibrary.wiley.com
Up to half of patients with esophageal cancer experience recurrence after receiving the standard treatment of neoadjuvant chemotherapy or chemoradiotherapy (CRT) followed by curative esophagectomy....
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Big day for a rare disease 🎉🧬 The new NCCN Guidelines for Appendiceal Cancer just dropped — and they’re fantastic. For the first time, this rare and often misunderstood disease finally gets its own dedicated guidance, instead of the old “just follow colorectal cancer”
nccn.org
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